Ruby Yu, The Chinese University of Hong Kong, Hong Kong,
J Frailty Aging. 2023;12(2):126-133. doi: 10.14283/jfa.2023.3.
Although integrated care has been considered a key strategy in reforming health systems around the world, it seems hard to realise in practice, particularly in the part of medical social integration. Worse still, little is known about the capacity of social care professionals who implement it, or their perceived roles and responsibilities, as well as the barriers and facilitators that stakeholders from the health and social sectors identify as factors affecting the ICOPE implementation process. Therefore, the present study was performed to probe into these issues. Data were collected from an online survey based on the WHO ICOPE scorecard (N = 34), and focus groups with policy makers, managers, health and social care professionals (N = 47). Inductive analyses were performed in accordance with the service and system levels within the WHO ICOPE implementation framework. While the findings from the scorecard survey highlight the gap in actualizing the ICOPE approach within the existing social services and care structures, we found support for a model of integrated care underpinned by the WHO ICOPE approach. Factors that may hinder and facilitate ICOPE implementation include workforce capacity-building, coordinated networks and partnerships, and financial mechanisms. This finding can help inform subsequent actions that further support health and social care advancement and collaboration, and the implementation of the ICOPE approach.
尽管整合照护被认为是全球范围内改革卫生系统的关键策略,但在实践中似乎难以实现,特别是在医疗社会整合方面。更糟糕的是,对于实施该策略的社会照护专业人员的能力,以及他们所感知的角色和责任,以及卫生和社会部门利益相关者认为影响 ICOPE 实施过程的障碍和促进因素,知之甚少。因此,进行了本项研究来探讨这些问题。数据来自基于世卫组织 ICOPE 记分卡的在线调查(N=34)和政策制定者、管理者、卫生和社会照护专业人员的焦点小组(N=47)。按照世卫组织 ICOPE 实施框架中的服务和系统层面进行了归纳分析。虽然记分卡调查的结果突显了在现有社会服务和照护结构中实现 ICOPE 方法的差距,但我们发现支持以世卫组织 ICOPE 方法为基础的整合照护模式。可能阻碍和促进 ICOPE 实施的因素包括劳动力能力建设、协调的网络和伙伴关系以及财务机制。这一发现可以为进一步支持卫生和社会照护的发展和合作以及 ICOPE 方法的实施提供信息。